RECOVER AMOUNTS INCORRECTLY PAID FROM MEDICAL SAVINGS ACCOUNTS (MSAs)

We get medical & insurance claims paid and treatments approved.

The money in the Medical Savings Account belongs to the member, and not the Medical Scheme. It is effectively a bank account. Sometimes Medical Schemes make payments from the MSA that should have been paid from the Scheme’s funds. This often happens after hospitalisation and major medical procedures. These incorrect payments can be claimed back.

Claims Hound can help.

  • We analyse your Medical Scheme Statements and Medical Service Provider Invoices to determine if the treatment qualifies for payment from general funds.
  • We engage with the Medical SchemeĀ on your behalfĀ to get the monies refunded to your MSA.
  • No needĀ for you to get directly involved in the negotiations with the Medical Scheme.
  • You will be notified when the Medical Scheme agrees to make refunds to your MSA.
  • On confirmation by the Medical Scheme that funds have been refunded to your MSA, Claims Hound will invoice you for 15% of the increased amount (our service fee).
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